Form St- 3 - Addendum Use

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ST- 3 Addendum Use
(Rev. 12/12)
Georgia Department of Revenue
Sales and Use Tax Return
P.O. Box 105408
Atlanta, Georgia 30348-5408
Version 1
/
/
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Period Ending:
Amended Return
Sales & Use #
Name:
Address:
Address:
PART B
PART B
Use Tax Distribution Table
Use Tax Distribution Table
JURISDICTION
JURISDICTION
USE TAX REASON
OF USE-NAME
OF USE-CODE
CODE
USE TAX AMOUNT
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USE TAX TOTALS

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